BMSA Concusion Policy, Codes of Conduct & Concussion Protocols

Concussion Overview

• A concussion is a serious brain injury caused by a hit or jolt to the head or body.

• All concussions should be treated as potentially serious.

• Most people recover fully with proper management, but poor handling can lead to further injury.

• No same-day return to play after a suspected concussion.

Key Rules

• Remove immediately from play if a concussion is suspected.

• Do not leave the person alone; monitor symptoms.

• No medication unless directed by a doctor.

• Medical evaluation is required—only healthcare professionals can diagnose and clear return.

• Athlete must be symptom-free and medically cleared before returning.

Signs & Symptoms

Symptoms may appear right away or hours later.

Common signs:

• Poor balance, slurred speech, confusion, vacant stare

• Delayed responses, unusual behavior

Common symptoms:

• Headache, dizziness, nausea/vomiting

• Fatigue, irritability, sensitivity to light

• Ringing in ears, difficulty concentrating

➡️ Loss of consciousness = call an ambulance immediately

Who Is at Higher Risk

• Children and teens (slower recovery)

• Female athletes

• Those with previous concussions

Dangers of Mismanagement

• Cumulative brain injury (multiple concussions over time)

• Second Impact Syndrome (rare but potentially fatal if a second injury occurs before recovery)

Immediate Action Steps

1. Remove from activity

2. Monitor closely

3. Inform parents/guardians

4. Seek medical care

5. Do not allow return to play

➡️ “If in doubt, sit them out”

Return-to-Play (6 Steps)

Must be gradual and supervised:

1. Full physical & mental rest

2. Light activity (e.g., walking)

3. Simple sport-specific exercise (no contact)

4. More complex training (after medical clearance)

5. Full-contact practice

6. Return to game play

• Takes at least one week

• If symptoms return → go back to Step 1

Prevention & Safety

• Promote a culture of safety

• Encourage athletes to report symptoms honestly

• Follow rules and model good sportsmanship

Bottom Line

• Never ignore a concussion.

• Returning too early increases the risk of serious, lifelong brain injury.

• Always follow proper recovery steps and get medical clearance.